KEREN WAGNER DNP, CRNA
NPI 1609338136
Nurse Anesthetist, Certified Registered in Montgomery, AL

Active since April 03, 2019
2105 E SOUTH BLVD, MONTGOMERY, AL 36116(334) 288-2100 Get Directions Write a Review

NPPES record last updated: February 25, 2025. Verified against the NPPES registry weekly; last sync: November 01, 2026.

Record update history: Feb 25, 2025, Jul 13, 2021, Nov 10, 2020 and 1 more (4 updates tracked since 2019).

About Keren Wagner Dnp, Crna NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

KEREN WAGNER DNP, CRNA (NPI 1609338136) is an individual nurse anesthetist, certified registered in Montgomery, Alabama, licensed in Alabama (1-200299) and active in the NPI registry since April 2019. She is a graduate of Other (2018).

NPPES Registry Identity

NPI1609338136
Entity TypeIndividualFemale
Primary Taxonomy367500000X
Provider Legal NameKEREN WAGNERCredential: DNP, CRNA
Location Address2105 E SOUTH BLVDMontgomery, AL 36116-2409
Mailing Address113 S Perry St Ste 206Lawrenceville, GA 30046-4811
Sole ProprietorNo
Medical School CMSOtherGraduated 2018
Enumeration DateApril 3, 2019
Last NPPES UpdateFebruary 25, 20254 updates tracked since enumeration
NPPES CertifiedFebruary 25, 2025
✔ NPI 1609338136 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyNurse Anesthetist, Certified RegisteredPhysician Assistants & Advanced Practice Nursing Providers
Taxonomy Code367500000X
Licenses✔ Licensed in AL · 1-200299✔ Licensed in PA · RN597039✔ Licensed in OH · APRN.CRNA.019970
Definition
(1) A licensed registered nurse with advanced specialty education in anesthesia who, in collaboration with appropriate health care professionals, provides preoperative, intraoperative, and postoperative care to patients and assists in management and resuscitation of critical patients in intensive care, coronary care, and emergency situations. Nurse anesthetists are certified following successful completion of credentials and state licensure review and a national examination directed by the Council on Certification of Nurse Anesthetists. (2) A registered nurse who is qualified by special training to administer anesthesia in collaboration with a physician or dentist and who can assist in the care of patients who are in critical condition.
2105 E SOUTH BLVD, Montgomery, AL 36116

Medicare Participation & PECOS CMS

Medicare enrollment, assignment, billing reassignment, and ordering and referring status from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Keren Wagner Dnp, Crna is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

PECOS PAC ID7911396056
PECOS Enrollment IDI20251009000299

Medicare Billing Reassignments

3

Medicare enrollment records show Keren Wagner reassigns Medicare billing to 3 organizations. Each organization bills Medicare for the services this provider delivers there; the nearest is listed first.

Anesthesiology
2105 EAST SOUTH BLVD
Montgomery, AL 36116
  • Reassigned Medicare billing, Alabama enrollment
  • 214 clinicians in this Medicare group
Anesthesiology
1725 PINE ST
Montgomery, AL 36106
  • Reassigned Medicare billing, Alabama enrollment
  • 136 clinicians in this Medicare group
Anesthesiology
710 CENTER ST
Columbus, GA 31901
  • Reassigned Medicare billing, Georgia enrollment
  • 165 clinicians in this Medicare group

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Anesthetist, Certified Registered
2105 E SOUTH BLVD
MONTGOMERY, AL 36116
General Acute Care Hospital
2105 E SOUTH BLVD
MONTGOMERY, AL 36116
Nurse Anesthetist, Certified Registered
2105 E SOUTH BLVD
MONTGOMERY, AL 36116
Family Medicine
2105 E SOUTH BLVD, BAPTIST MEDICAL CENTER SOUTH
MONTGOMERY, AL 36116
Nurse Anesthetist, Certified Registered
2105 E SOUTH BLVD
MONTGOMERY, AL 36116
Nurse Anesthetist, Certified Registered
2105 E SOUTH BLVD
MONTGOMERY, AL 36116
Nurse Anesthetist, Certified Registered
2105 E SOUTH BLVD, BAPTIST HOSPITAL DEPT OF ANES
MONTGOMERY, AL 36116
Hospitalist
2105 E SOUTH BLVD
MONTGOMERY, AL 36116

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Keren Wagner's NPI number?

The NPI number for Keren Wagner is 1609338136. It was assigned to this individual provider in the NPPES registry on April 3, 2019.

Where is Keren Wagner located?

Keren Wagner practices at 2105 E South Blvd, Montgomery, AL 36116. The listed phone number is (334) 288-2100.

What is Keren Wagner's specialty?

The primary specialty registered for this NPI is Nurse Anesthetist, Certified Registered with taxonomy code 367500000X.

Is Keren Wagner enrolled in Medicare?

Yes. Keren Wagner is registered in the Medicare PECOS enrollment system.

Which organizations bill Medicare for Keren Wagner's services?

According to the CMS Revalidation Reassignment List (October 2026 release), Keren Wagner reassigns Medicare benefits to 3 organizations: Premier Anesthesia Of Montgomery PC (Montgomery, AL), Montgomery Anesthesia Associates, PC (Montgomery, AL) and Hospitalist Medicine Physicians Of Georgia - Tcs, PC (Columbus, GA). Each reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for Keren Wagner's services. Reassignment records can lag staffing changes; confirm current arrangements with the organization.

When was this NPI record last updated?

The NPPES record for Keren Wagner was last updated on February 25, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 20 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.